| NPI | 1396068433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WIEGEL President 847-594-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071007686) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |